Useful Guide to Subpectoral Augmentation Mastopexy after Massive Weight Loss

Document Type : Original Article

Author

The Department of Plastic Surgery, Reconstructive Surgery and Burn Management, Faculty of Medicine, Alexandria University

Abstract

Background: The extent of breast ptosis and deformity
after massive weight loss is severe and the treatment of this
problem is challenging. Recently, there has been a great deal of
interest and several studies on augmentation mastopexy in this
unique patient population due to the large number of patients
who present after bariatric surgery.
Objective: This study aims to describe a useful guide for a
single-stage augmentation mastopexy that combines the benefits
of the submuscular plane with a superior dermoglandular
flap for massive weight loss patients (MWLP) with grade 3
breast ptosis.
Methods: A retrospective cohort included 54 MWLP with
grade 3 breast ptosis (nipple below the inframammary fold and
lowest part of the breast) who underwent single-stage augmentation
mastopexy between January 2016 and December 2020.
Results: The mean age of the patients was 32.4 years
(range: 20 to 50 years), the mean current BMI was 26.6kg/m2,
and the mean follow-up time was 22 months (range: 13 to 56
months).
The patients reported outcome of the BREAST -Q scales
were as follows: Physical well-being (89.3), sexual well-being
(88.6), and psychosocial well-being (89.3).
The overall incidence of complications was of 18.52%.
Mild wound healing problems in 6 patients. Reoperation in 4
cases (7.4%) due to implant malposition within 6 months postoperatively.
Conclusion: The study results showed that single stage
augmentation mastopexy should be limited to patients with
good breast symmetry and patients who desire rational volume
augmentation.

Main Subjects

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